药剂师为癌症患者在专门的息护理环境中进行药剂师主导的抑郁治疗干预
Ciarán McAdam1, Eimear O'Dwyer1, Kieran Dalton2
1Pharmacy Department, Our Lady's Hospice & Care Services, Dublin, Ireland.
概括
在息治疗中,药剂师主导的抑郁处方减少了药物负担和成本. 需要主动下药,注意特定的药物类型,如胃食道逆流症的药物类型.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 临床药房 临床药房
- 药物经济学 药物经济学
背景情况:
- 在接受息治疗的成人癌症患者中,潜在不合适的药物 (PIM) 是常见的.
- 识别和减少PIM可以改善患者的治疗结果,并降低医疗保健成本.
研究的目的:
- 确定在息治疗中的成人癌症患者中PIMs的患病率.
- 评估医生实施药剂师减处方建议的速度.
- 为了评估 PIMs 停止处方的成本影响.
主要方法:
- 对48名在息治疗中的成人癌症患者进行了药物调整.
- 为了确定PIMs,使用了OncPal减压指南和临床判断.
- 计算了流行率,实施率和成本节省.
主要成果:
- 25.2%的药物被确定为PIM,最常见的是维生素,胃食管逆流症 (GORD) 药物和脂质修饰剂.
- 药剂师的减药建议在71.7%的时间内被执行,每名患者的药物负担减少了1.7种药物.
- 取消PIM的处方在28天内节省了948.27欧元的成本,根据入院类型和药物类别的实施率有所不同.
结论:
- 在住院息护理中,药剂师主导的降低处方提供了显著的好处,包括成本节省和降低药物负担.
- 在住院患者入院之前,主动降低处方至关重要.
- 需要进一步细化减缓处方指南,特别是用于症状管理的药物.
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